Customer ReviewsforAnthem Blue Cross and Blue Shield

Anthem Blue Cross Blue Shield California discontinued out-of-state coverage as a benefit, impacting rural Northern California residents who rely on nearby Nevada healthcare providers. Recently my routine preventative colonoscopy and pre-authorized surgery were unexpectedly denied coverage due to being performed out-of-state. It was only after the denial that they shared they require an "access to care" form to be completed prior to seeing any out of state doctor. Even with **** preauthorizing out of state procedures they neglected to communicate this information beforehand.I submitted all denied claims into grievance who denied coverage for a final decision. When questioned, the representative with the grievance department rudely stated that coverage is limited to ********** as it is the **** CA plan and that unless they deemed a service to be an emergency, it won't be covered. The access to care form doesn't guarantee coverage either. This has caused significant financial stress. Unfortunately, I researched policies that will cover my zip code and **** Anthem is the only company available. This current policy costs over $500/mo. Upgrading will not solve the issue as all options limit coverage to ** only.This situation highlights how **** monopolizes areas, lacks clear communication, is costly for the average working-class person and requires people to still pay out of pocket for necessary healthcare services. I'm stuck paying for a plan that I can't even use.

No customer service. It keeps diverting me to AI which is also not working. No info on web for basic bloodworm services. Lists covered facilities hours away. I am a healthcare provider who cannot navigate their own insurance. No one is ble to give cost estimates either. Healthcare is so terrible.

Anthem BCBS made an error and covered a prescription for me after my benefits were expired. They are requesting reimbursement from me rather than the pharmacy that they paid the cost to. By making this error they took away my right to decline the high cost prescription. I do not feel I should be responsible for their error!!! They did not contact me at all before turning the situation over to a collection agency. Very poor customer service!!!

After reading other reviews I have to agree that Anthem is not up to par with other medical insurance companies. I hate being lied to and believe this fool me once shame on you.

Well, where do I start? I had a small procedure done on my eyes in November of 2021 and anthem was to pay claim, but then anthem turns it around on me and says that I had a secondary insurance when I didnt and I have tried everything in my power to get them to pay out the claim but they keep s******* everything up because Ive sent appeal letters and documents that prove that I am telling the truth and all of this but anthem sends me the approved appeal but different dates and different doctor that I dont even know. I am super stressed out from all of this and its just been a huge headache for the last three years and frankly I am just dont with anthem blue cross.

Pretty much useless. They say your doctors take them but then they don't. It takes several months to get set up and you will have to pay for everything out of pocket until then, and there is no reimbursement. And you can forget about prior authorizations.

Anthem BCBS actively sabotaged my medical care. I read my policy benefits from top to bottom (134 page document), followed instructions they gave me. The case manager who denied my claim did not even know the nature of the treatment she denied, and then proceeded to try and direct my medical care, which is probably illegal of her to do so. They purposely waited until the last minute, two days before my inpatient admission date, to deny the claim, and then suggest an inappropriate treatment, before pretending the issue was resolved. They failed to follow the procedures created by themselves.

I missed a payment and was told I had a grace ******* I paid my bill, only to be told by my pharmacist I don't have insurance. When I checked I had been dropped. They lied to me telling me I had insurance when it had been cancelled already.

be very carful when you deal with Anthem ********************************** Shield they contract a third party to sell enrollment in ******** advantage they refused to cancel my enrollment, which I communicated to them by email within 5 days, because I did not contact customer service by phone ( email is not acceptable ...) I had then to fax the request spending time and money Because of their refusal to dis-enroll me as first of the month, I had to see my gastro-enterologist specialist who is ******** network as a cash patient.... Anthem collected my ******** premium for the month but they did not reimburse me the costof specialist visit, which was lower than premium My advise is that to avoid Anthem ********************************** Shield Pleas read the investigation about how this insurance company committed 1B $ + fraud with ********

If I could give zero stars I would. I understand the safety issue of what I am about to write but come on. So, my husband had a massive stroke 7/1. I called today to figure some items out and the operator had no empathy. He asked for a verbal okay from my husband who cant speak and is trached and still in the hospital. He didnt really understand what I was saying: umit was in plain as day English. I said he physically cant give a verbal authorization. He was whistling while trying to look up the information and trust me I am not in the mood today. Than he said I can send you an authorization by email for your husband to sign. The man is unable to do anything right now. Nothing. The man said something else & I kindly listened because I am not in the mood to be an a**** right now. He said is there anything and I hung up. Not in the total mood.